Mchr 27 Form PDF Details

At the heart of the battle against workplace discrimination in Missouri lies the MCHR 27 form, a crucial document that plays a foundational role in the enforcement of fair employment practices. This form serves as the formal complaint mechanism for individuals who believe they have been subjected to discrimination on the basis of race, color, sex, national origin, religion, age, disability, or in retaliation for engaging in protected activities. Administered by the Missouri Department of Labor and Industrial Relations Commission on Human Rights, in collaboration with the Equal Employment Opportunity Commission (EEOC), the form represents a critical first step in the formal process to address and rectify instances of workplace inequality. With provisions to ensure the complainant's privacy in compliance with the Privacy Act of 1974, the MCHR 27 form demands detailed information about the alleged discriminatory act, including the specifics of the claimant and the accused entity or individual, alongside a narrative of the discriminatory event, with options to list multiple incidents or ongoing discrimination. Furthermore, the form emphasizes the necessity for claimants to maintain active communication with the relevant agencies, underscoring the importance of cooperation throughout the investigation process. Designed to facilitate a stringent and effective examination of discrimination claims, this document underscores both state and federal commitments to uphold the rights of workers and foster an equitable working environment for all Missourians.

QuestionAnswer
Form NameMchr 27 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesMCHR-27, foregoing, MISSOURI, mchr 27 form

Form Preview Example

MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS COMMISSION ON HUMAN RIGHTS

CHARGE OF DISCRIMINATION

Enter Charge Number

FEPA

EEOC

This form is affected by the Privacy Act of 1974; see Privacy Act Statement before completing this form.

Missouri Commission on Human Rights and EEOC

Name (Indicate Mr., Ms., or Mrs.)

Date of Birth

Home Telephone No. (Include Area Code)

Street Address

City, State and Zip Code

County

Named below is the Employer, Labor Organization, Employment Agency, Apprenticeship Committee, State or Local Government Agency who discriminated against me (if more than one list below).

Name

Street Address

Name

Street Address

No. of Employees/Members

 

Telephone No. (Include Area Code)

City, State, and ZIP Code

 

 

 

 

No. of Employees/Members

 

Telephone No. (Include Area Code)

 

City, State, and ZIP Code

 

 

 

 

Cause of Discrimination based on (Check appropriate box(es))

Race

 

Color

 

Sex

National Origin

 

Religion

 

Age

 

 

Disability

 

Retaliation

 

Other (Specify)

 

 

Date Discrimination took Place (Month, Day, Year)

Continuing Action

The Particulars Are (If additional space is needed, attach extra sheet(s)):

 

 

I want this charge filed with both the EEOC and the Missouri

NOTARY – (When necessary to meet State and Local Requirements)

 

 

 

 

 

Commission on Human Rights. I will advise the agencies if I change my

__________________________________________________________

address or telephone number and I will cooperate fully with them in the

I swear or affirm that I have read the above charge and that it is true to

processing of my charge in accordance with their procedures.

 

 

the best of my knowledge, information and belief.

 

 

I declare under penalty of perjury that the foregoing is true and correct.

 

 

 

 

 

X________________________________________________________

X________________________________________________________

Signature of Complainant

 

 

Charging Party (Signature)

Date

_________________________________________________________

 

 

 

 

Subscribed and sworn to before me this date (Day, month, and Year)

 

 

 

 

 

Missouri Commission on Human Rights is an equal opportunity employer/program.

Auxiliary aids and services are available upon request to individuals with disabilities.

MCHR-27 (12-13) AI

 

 

 

 

 

 

 

I want this charge filed with both the EEOC and the Missouri

NOTARY – (When necessary to meet State and Local Requirements)

 

 

 

 

 

Commission on Human Rights. I will advise the agencies if I change my

__________________________________________________________

address or telephone number and I will cooperate fully with them in the

I swear or affirm that I have read the above charge and that it is true to

processing of my charge in accordance with their procedures.

 

 

the best of my knowledge, information and belief.

 

 

I declare under penalty of perjury that the foregoing is true and correct.

 

 

 

 

 

X________________________________________________________

X________________________________________________________

Signature of Complainant

 

 

Charging Party (Signature)

Date

_________________________________________________________

 

 

 

 

Subscribed and sworn to before me this date (Day, month, and Year)

 

 

 

 

 

 

 

 

 

MCHR-27-2 (12-13) AI

How to Edit Mchr 27 Form Online for Free

We chose the top web developers to design our PDF editor. Our application will let you prepare the mchr 27 document conveniently and won't consume a lot of your energy. This easy instruction will let you start out.

Step 1: Click on the "Get Form Here" button.

Step 2: Now you should be on the form edit page. You can include, alter, highlight, check, cross, include or remove fields or words.

These areas will frame the PDF file that you will be creating:

stage 1 to filling in foregoing

Write down the essential information in the space Cause of Discrimination based on, Race, National Origin, Disability, Color, Religion, Retaliation, Sex, Age, Date Discrimination took Place, Other Specify, Continuing Action, and The Particulars Are If additional.

Entering details in foregoing part 2

You should be demanded particular essential data so that you can complete the I want this charge filed with both, I declare under penalty of perjury, NOTARY When necessary to meet, I swear or affirm that I have, X Charging Party Signature Date, X Signature of Complainant, Subscribed and sworn to before me, Missouri Commission on Human, and MCHR AI box.

foregoing I want this charge filed with both, I declare under penalty of perjury, NOTARY  When necessary to meet, I swear or affirm that I have, X Charging Party Signature Date, X Signature of Complainant, Subscribed and sworn to before me, Missouri Commission on Human, and MCHR  AI blanks to fill

The segment allows you to identify the rights and obligations of both parties.

foregoing  fields to fill

Look at the fields I want this charge filed with both, I declare under penalty of perjury, NOTARY When necessary to meet, I swear or affirm that I have, X Charging Party Signature Date, X Signature of Complainant, Subscribed and sworn to before me, and MCHR AI and next fill them in.

Completing foregoing part 5

Step 3: At the time you click on the Done button, your final file is easily exportable to every of your gadgets. Or alternatively, you may send it through mail.

Step 4: To avoid any kind of difficulties down the road, be sure to create as a minimum two or three copies of the document.

Watch Mchr 27 Form Video Instruction

Please rate Mchr 27 Form

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .